| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,657 |
4,869 |
$266K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
273 |
200 |
$97K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,123 |
900 |
$89K |
| 59430 |
|
1,254 |
944 |
$84K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
435 |
384 |
$48K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,048 |
833 |
$34K |
| 81002 |
|
10,655 |
4,849 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,276 |
1,065 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
162 |
152 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
303 |
234 |
$11K |
| 59514 |
|
14 |
13 |
$9K |
| 76801 |
|
62 |
54 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
106 |
$2K |
| 81025 |
|
27 |
25 |
$173.52 |